Prepare and submit the INTR / CPT final report form

Name: Click here to enter text.

Student ID#: Click here to enter text.

Term:

Year: Click here to enter text.

Classes take then term:

Course ID	Course Description (available in catalogue http://www.ucumberlands.edu/academics/academic-catalog )
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.

Please check the box that applies:

☐ I completed an internship/employment opportunity this semester.

☐ I did not complete an internship/employment opportunity this semester. By selecting this box, you do not need to complete any other sections.

Employment History this term:

Employer	Job Title	Brief Description of Job	Start Date	End Date	Reason for change?
Click here to enter text.	Click here to enter text.	Click here to enter text.			Click here to enter text.

In the space provided please outline how you used the knowledge gained in the course(s) listed within this position (if this is the only position you have held this term please provide a minimum of 500 words, you have had more than one position please provide a minimum of 250 words for each employer.

Additional employers on page 2.

Second Employment History this term:

Employer	Job Title	Brief Description of Job	Start Date	End Date	Reason for change?
Click here to enter text.	Click here to enter text.	Click here to enter text.			Click here to enter text.

Third Employment History this term:

Employer	Job Title	Brief Description of Job	Start Date	End Date	Reason for change?
Click here to enter text.	Click here to enter text.	Click here to enter text.			Click here to enter text.